Kodi mukumva ngati malingaliro anu, kaya ndi chisangalalo kapena chisoni, akukwera ndi kutsika mofulumira kwambiri? Kodi mukumva kukhala osangalala komanso amphamvu lero, kenako n’kumva chisoni komanso opanda kanthu kotero kuti simungathe kudzuka pabedi mawa? Kusinthasintha kwachangu kumeneku kwa malingaliro kungagwirizane ndi matenda a bipolar . Tiyeni tikambirane za izi lero, monga momwe timalankhulira ndi mnzanu.
Kodi Rapid Cycling ndi chiyani kwenikweni?
Mwachidule, Rapid Cycling ndi njira yosinthira pafupipafupi komanso mwachangu kwa malingaliro mwa munthu yemwe ali ndi Bipolar Disorder. Makamaka, madokotala amatcha Rapid Cycling ngati mukukumana ndi zochitika zinayi kapena kuposerapo za mania, hypomania, kapena depression pakatha chaka chimodzi .
Chofunika kumvetsetsa apa ndichakuti iyi si matenda enaake. Ndi khalidwe la Bipolar Disorder, kapena "njira yodziwira matenda." Kachitidwe kameneka kangayambe nthawi iliyonse, ndipo kamathanso kutha pakapita nthawi ndi chithandizo. Choncho musaganize kuti ndi chinthu chomwe chidzakhalapo nthawi zonse.
Ndani amene ali ndi mwayi waukulu wopeza vutoli?
Matenda a bipolar angakhudze aliyense. Amakhudza gawo lalikulu la anthu padziko lonse lapansi. Mwa iwo, pakati pa 10% ndi 20% amatha kuvutika ndi matenda amisala .
Kafukufuku wapeza kuti vutoli limapezeka kwambiri mwa akazi ndi omwe ali ndi matenda a Bipolar II.
Zizindikiro za matenda a bipolar nthawi zambiri zimayamba kuonekera mwa achinyamata, azaka zapakati pa 18-25. Nthawi zambiri, matendawa amapezeka asanakwanitse zaka 50. Ngati munthu wapafupi nanu (amayi, abambo, abale anu) ali ndi matenda a bipolar, inunso muli pachiwopsezo chotenga matendawa.
Kodi zizindikiro zazikulu za matenda a Bipolar ndi ziti?
Tisanamvetse bwino za kusintha kwadzidzidzi kumeneku, tiyeni tiphunzire pang'ono za zinthu zitatu zazikulu zomwe zimayambitsa matenda a Bipolar .
| Gawo la Maganizo | Mwachidule... |
|---|---|
| Kupusa Kwambiri | Kumva chisangalalo chosaneneka komanso mphamvu zambiri. Izi zimatha kwa sabata imodzi kapena kuposerapo. Zinthu monga kusagona usiku, kulankhula kwambiri, kugwiritsa ntchito ndalama mosasamala, komanso kuchita zinthu zoopsa zingachitike panthawiyi. |
| Hypomania | Iyi ndi nthawi yosangalatsa kwambiri komanso yosavutikira. Imakhalapo kwa masiku osachepera anayi. Pakadali chisangalalo ndi mphamvu zambiri panthawiyi, koma sizimasokoneza moyo watsiku ndi tsiku monga momwe zimakhalira panthawi ya kusangalala kwambiri. Anthu ambiri amaganiza kuti iyi ndi nthawi yachisangalalo chachikulu. |
| Kuvutika Maganizo Kwakukulu | Kumva chisoni chachikulu, kutaya chiyembekezo, komanso kutaya chidwi ndi zinthu zomwe munkasangalala nazo n’kofala panthawiyi. Zizindikiro monga kutopa, kutopa nthawi zonse, kusintha kwa tulo ndi chilakolako cha chakudya, komanso kukhumudwa ndi moyo n’zofala. |
Kwa anthu ambiri omwe ali ndi vuto la kuthamanga kwa magazi, amakhala nthawi yambiri ali ndi vuto la kukhumudwa kuposa omwe ali ndi vuto la kutopa kapena kutopa. Izi zikutanthauza kuti amakhala ndi nthawi zambiri zovutika maganizo, ndi nthawi yochepa yachisangalalo (manic/hypomanic) kapena maganizo abwinobwino.
Kodi dokotala amadziwa bwanji ngati muli ndi Rapid Cycling?
Izi nthawi zina zimakhala zovuta kuzizindikira, chifukwa nthawi zina gawo lomwelo silingathe kutha konse, koma lingakhale lofala kwambiri. Zingakhale zovuta kudziwa ngati ndi magawo anayi osiyana kapena kusinthasintha kamodzi kokha.
Chimodzi mwa zovuta zazikulu ndi izi ndi matenda olakwika . Popeza anthu ambiri omwe ali ndi Rapid Cycling nawonso ali ndi vuto la kuvutika maganizo, nthawi zambiri amaonedwa kuti ndi "kuvutika maganizo kwakukulu" kapena "kuvutika maganizo kwa unipolar" m'malo mwa matenda a bipolar.
Ganizirani izi motere. Mumapita kwa dokotala kukamuuza za chisoni chanu chachikulu komanso kuvutika maganizo. Koma simumamuuza za vuto la hypomania nthawi zina. Chifukwa mumaganiza kuti ndi "nthawi yabwino, yosangalatsa kwa kanthawi, pamene mungathe kuchita zambiri," osati ngati chizindikiro cha matenda. Kenako dokotalayo amangopeza mbali imodzi ya nkhaniyi. Ndicho chifukwa chake samvetsa bwino momwe mukumvera.Izi zikutanthauza kuti ndikofunikira kwambiri kukambirana momasuka ndi dokotala wanu za zabwino ndi zovuta zonse ziwiri.
Kodi mankhwala ochizira izi ndi otani?
Anthu ambiri omwe ali ndi vuto la kuthamanga kwa magazi nthawi zambiri amakhala ndi zizindikiro zazikulu za kuvutika maganizo. Choncho cholinga chachikulu cha chithandizo ndikukhazikitsa mtima wanu ('kukhazikika kwa maganizo'). Izi zikutanthauza kuti, kupewa zochitika zatsopano pamene mukuchepetsa kuvutika maganizo.
Kodi muyenera kuda nkhawa ndi mankhwala oletsa kuvutika maganizo?
Kafukufuku wasonyeza kuti mankhwala ochizira kuvutika maganizo, monga fluoxetine (Prozac) ndi sertraline (Zoloft), sagwira ntchito bwino pochiza matenda a bipolar othamanga kwambiri. Nthawi zina amatha kuipitsa kwambiri nthawi zina . Ichi ndichifukwa chake madokotala ambiri amakayikira kugwiritsa ntchito mankhwalawa kwa anthu omwe amathamanga kwambiri, makamaka omwe amathamanga nthawi yayitali.
Ndiye kodi mankhwala akuluakulu ndi ati?
Chithandizo chachikulu apa ndi mankhwala ochepetsa kukhumudwa .
- `carbamazepine (Tegretol)`
- Lamotrigine (Lamictal)`
- `lithium (Lithobid)`
- `valproate (Depakote)`
Izi ndi zofunika kwambiri pa chithandizo. Nthawi zina, mankhwala amodzi okha sangakhale okwanira kulamulira kusinthasintha kwadzidzidzi kumeneku. Zikatero, dokotala angasankhe kupereka mankhwala awiri kapena angapo pamodzi.
Kuphatikiza apo, mankhwala ena oletsa matenda amisala, monga olanzapine (Zyprexa) kapena quetiapine (Seroquel), amagwiritsidwa ntchito kuthandiza kukhazikika kwa malingaliro, kaya pali vuto la maganizo kapena ayi.
Chofunika kwambiri: Musasiye kumwa mankhwala omwe dokotala wanu wakupatsani, ngakhale mutakhala bwino ndipo simukukumana ndi vuto lililonse. Pitirizani kumwa mankhwalawa kuti mupewe zochitika zina mtsogolo. Ngati mukufuna kuchepetsa kapena kusiya kumwa mankhwala anu, chitani izi pokhapokha ngati dokotala wanu wakupatsani upangiri .
Kodi zoopsa za kuyenda mofulumira pa njinga ndi ziti?
Nkhani imeneyi ndi yovuta kukambirana, koma ndikofunikira kudziwa. Chiwopsezo chachikulu chomwe chimabwera chifukwa cha kuthamanga kwa magazi m'thupi ndi kudzipha . Anthu omwe ali ndi vuto la bipolar ali ndi mwayi wodzipha nthawi 10-20 kuposa omwe alibe. Mwatsoka, pakati pa 8% ndi 20% ya anthu omwe ali ndi vuto la bipolar amafa chifukwa chodzipha.
Chiwopsezochi chingakhale chachikulu kwambiri kwa anthu omwe ali ndi vuto la kuthamanga kwa njinga. Angafunike kugonekedwa kuchipatala pafupipafupi, ndipo zizindikiro zawo zingakhale zovuta kuziletsa.
Komabe, chithandizo choyenera chingachepetse kwambiri chiopsezochi.Makamaka, kugwiritsa ntchito mankhwala a lithiamu kwa nthawi yayitali kwawonetsedwa kuti kumachepetsa chiopsezo chodzipha.
Kuphatikiza apo, anthu omwe ali ndi vuto la bipolar ali pachiwopsezo chogwiritsa ntchito mankhwala osokoneza bongo komanso mowa mopitirira muyeso. Zovuta zimenezi zingapangitse vutoli kukhala loipa komanso lovuta kulithetsa.
Uthenga Wopita Nawo Kunyumba
- Kuthamanga kwa Rapid Cycling si matenda osiyana, koma ndi matenda omwe ali mu Bipolar Disorder. Ngati mukumva kusintha kwa maganizo (magawo) kopitilira kanayi pachaka, mwina ndi matenda omwewo.
- Anthu ambiri omwe ali ndi vutoli amakumana ndi zizindikiro zambiri za kuvutika maganizo, zomwe zingaganizidwe molakwika ngati kuvutika maganizo kwa anthu onse.
- Cholinga chachikulu cha chithandizo ndikuwongolera malingaliro pogwiritsa ntchito mankhwala oletsa kukhumudwa. Mankhwala oletsa kuvutika maganizo amagwiritsidwa ntchito mosamala kwambiri.
- Khalani omasuka komanso oona mtima kwa dokotala wanu za nthawi yomwe muli ndi nkhawa kwambiri (hypomania) komanso momwe mumamvera chisoni.
- Ngakhale mutamva bwino, musasiye kumwa mankhwala anu popanda upangiri wa dokotala. Chithandizo ndi njira yabwino kwambiri yokuthandizani.
- Ngati inu kapena munthu amene mumamudziwa akukumana ndi vutoli, musakhale nokha. Pitani kwa dokotala nthawi yomweyo ndipo funani thandizo. Mukalandira chithandizo choyenera, mutha kuwongolera vutoli ndikukhala moyo wabwinobwino.
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